Transcription of RAJYA SABHA SECRETARIAT Parliament House …
1 RAJYA SABHA SECRETARIAT Parliament House Annexe New delhi -110 001. Phone: 23034208 23034030 APPENDIX-V DELETION OF FAMILY (IN TRIPLICATE) 1. Number of CGHS Token Card : 2. Name of Govt. Servant : 3. Designation : 4. Office in which employed RAJYA SABHA SECRETARIAT Parliament House Annexe New delhi -110001 5. Deletion desired (with reasons) : Sl. No. Name Age Relationship 1. 2. 3. 4. 5. 6. 6. Impression of Govt. Servant 7. Signature of issuing authority (with rubber stamp) 8. Signature of In-charge of Dispensary Dated.
